Swedish anaesthesiologists and nurse anaesthetists routines for evaluation and management of cognitive function: a nationwide survey

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Jildenstål, PetherDepartment of Anaesthesiology and Intensive Care, University Hospital, Örebro, Sweden (författare)

Swedish anaesthesiologists and nurse anaesthetists routines for evaluation and management of cognitive function : a nationwide survey

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LIBRIS-ID:oai:DiVA.org:oru-34020
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-34020URI

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Språk:engelska
Sammanfattning på:engelska

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Ämneskategori:ovr swepub-publicationtype

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Introduction: In clinical practice efforts have mainly been focused on cardiovascular and pulmonary risks, there is less attention on postoperative delirium (POD) and postoperative cognitive dysfunction (POCD).Methods: An online questionnaire regarding cognitive decline after anaesthesia and surgery was sent nationwide to a total of 2 626 anaesthesiologists and nurse anaesthetists. The questionnaire consisted of 3 parts, subjective preferences, routines and practices based on four typical case scenarios i.e. POCD, POD, emergence agitation (EA) and awareness.Results: The response rate was n=417 (45%) and n=669 (55%) for anaesthesiologists and nurse anaesthetists respectively. Only 10% of the responders consider cognitive function, assessment of preoperatively and risk for cognitive side-effects postoperatively important. The concern regarding awareness was far greater (90%) than for EA, POD and POCD, 30- 45%. EEG based depth of anaesthetic monitoring (DOA) is used regularly by 10% and in 22% in patients with increased risk. Regarding treatment, investigation and follow-up routines, less than 15% had written structured protocols. Sixty percent of the respondents do not consider POCD as an important outcome. Anaesthesiologists have a better knowledge of screening methods, management and follow-up routines and drug treatment for POD, POCD and EA compared to nurse anaesthetists.Conclusions: Our nationwide survey of anaesthesiologists and nurse anaesthetists shows that there is a general lack of knowledge about assessment and management of postoperative cognitive dysfunction. They are more concerned about awareness than the much more frequent and serious problems such as POD and POCD. In general DOA monitoring is not considered necessary. This survey shows that there is a clear need for improvement regarding knowledge of cognitive function.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
Anaesthesia
Surgery
adverse effects; cognitive dysfunction
postoperative delirium
emergence agitation
POCD
depth of anaesthesia monitoring
AAI
Anaesthesiology
Anestesiologi

Biuppslag (personer, institutioner, konferenser, titlar ...)

Rawal, NarinderDepartment of Anaesthesiology and Intensive Care, University Hospital, Örebro, Sweden (författare)
Hallén, Jan L.Department of Anaesthesiology and Intensive Care, University Hospital, Örebro, Sweden (författare)
Berggren, LarsDepartment of Anaesthesiology and Intensive Care, University Hospital, Örebro, Sweden; CAMTÖ, Centre for Assessment of Medical Technology in Örebro, Sweden(Swepub:oru)lsbn (författare)
Jakobsson, Jan G.Department of Anaesthesiology and Intensive Care, Institution for Clinical Science at the Karolinska Institutet, Danderyds University Hospital, Stockholm, Sweden (författare)
Department of Anaesthesiology and Intensive Care, University Hospital, Örebro, SwedenDepartment of Anaesthesiology and Intensive Care, University Hospital, Örebro, Sweden; CAMTÖ, Centre for Assessment of Medical Technology in Örebro, Sweden (creator_code:org_t)

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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-34020

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Av författaren/redakt...: Jildenstål, Peth ...; Rawal, Narinder; Hallén, Jan L.; Berggren, Lars; Jakobsson, Jan G ...

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

Av lärosätet: Örebro universitet

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